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Comparison study of transoral robotic surgery and radical open surgery for hypopharyngeal cancer

Authors
 Young Min Park  ;  Hyung Kwon Byeon  ;  Hyun Pil Chung  ;  Eun Chang Choi  ;  Se-Heon Kim 
Citation
 ACTA OTO-LARYNGOLOGICA, Vol.133(6) : 641-648, 2013 
Journal Title
 ACTA OTO-LARYNGOLOGICA 
ISSN
 0001-6489 
Issue Date
2013
MeSH
Aged ; Carcinoma/surgery* ; Female ; Humans ; Hypopharyngeal Neoplasms/surgery* ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; Otorhinolaryngologic Surgical Procedures/adverse effects ; Otorhinolaryngologic Surgical Procedures/methods* ; Quality of Life ; Retrospective Studies ; Robotics* ; Treatment Outcome
Keywords
Organ preservation surgery ; quality of life ; minimally invasive surgery ; functional recovery
Abstract
CONCLUSIONS: The oncologic outcome of transoral robotic surgery (TORS) was comparable to radical open surgery. The TORS group showed a better functional recovery and quality of life (QOL) than the radical surgery group. Therefore, TORS was a valid treatment option as a minimally invasive surgery for selected patients with hypopharyngeal cancer. OBJECTIVES: To affirm rapid functional recovery and improved QOL of patients who underwent TORS, which is a minimally invasive surgical technique. METHODS: Between April 2008 and November 2011, 56 patients were enrolled in the study. During the study period, 30 patients underwent TORS and 26 patients underwent radical open surgery. RESULTS: In the TORS and radical surgery groups, the 3-year overall survival rate was 85% and 78%, respectively, and disease-free survival was 81% and 76%, respectively. Significant differences were not observed in the overall survival and disease-free survival rates. As regards postoperative functional recovery, the TORS group showed statistically better results for decannulation, swallowing, and hospitalization compared with the radical surgery group. On the University of Washington (UW)-QOL, the TORS group showed better results than the radical open surgery group in the domains of pain, activity, recreation, swallowing, speech, anxiety, and health-related QOL
Full Text
http://informahealthcare.com/doi/abs/10.3109/00016489.2012.761350
DOI
10.3109/00016489.2012.761350
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Heon(김세헌)
Park, Young Min(박영민) ORCID logo https://orcid.org/0000-0002-7593-8461
Byeon, Hyung Kwon(변형권)
Chung, Hyun Pil(정현필)
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88140
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